Thursday, May 15, 2008

Billing Software, Free and Open this Time


Billing is one important area of all small and big businesses. Billing software market is crowded that choice of one becomes so difficult for a start up business owner. The question is will billing software survives the flood of software suits or packages offered by small and big software developing companies.

It should. The problem open software community today faces is the lack of skills or interest to learn the basics of programming and working of programs.

People also seek comfort zones all the time. We all live in an age of instant gratification and we are hardly programmed to wait or try hard to get something. This is the general trend and they will go for easily available packaged solutions, instead of trying to learn what it is about the working behind the things they see.

Needless to say a billing cum accounting system will, to a great extent take the load of learning accounting from your shoulders. With Free and Open Source Software (FOSS) the modern mantra, it is quite understandable if a few companies have taken the initiative to make major inroads into the field of free open source billing software.

It is necessary for the user to have a basic coding and programming knowledge to tweak the pieces of software to a workable suite. Then again the attempts in that direction should be recognized.

When introducing an open-source billing software, it is sure to be met with much skepticism and prejudices. No open source software is an exception. The whole hearted attempts from skilful people keep the trend alive.

A recent addition to free software, specifically billing software is JBilling, located at http://www.jbilling.com/. The open source software works with all major operating systems and supports My SQL, Postgre SQL and Hypersonic. It runs on JBOSS. It is thus a 100% free open source billing system that supports recurring billing, automatic payment processing using credit cards etc. It also handles web-based interface directly with end customers.

The software thus easily becomes an alternative to proprietary billing systems.

You can find more about Jbilling at {a rel="nofollow" href=" http://jbilling.com/"} http://jbilling.com/

Labels: , , , ,

Sunday, May 11, 2008

Medical Billing - Picking Your Software

In the many previous installments of medical billing that we have been through, we have discussed just about everything there is to discuss about medical billing software, such as what it can do, how to find problems and how to use it. But one thing we haven't covered, which is probably the most important thing of all, is how to choose your medical billing software. There are many brands out there. So how do you know which is the best one for your needs? Hopefully, after reading this installment, you'll have a decent idea of how to pick out your medical billing software if you haven't already done so.

The first thing you have to do is look at the size of your company and your computer setup. This is important for several reasons.

For starters, not all software packages run on all platforms. So if you're running a network on Mac computers, don't buy a software package that is made for Windows platforms. If you're running a peer to peer network, don't buy a software package that specifically says that it is for star based networks or similar client server networks.

As for the size of your network, if you have a company of 100 users, don't buy a software package that is limited to 50 user licenses. Conversely, if you only have five users in your company, it is wasteful to buy a software package that is specifically designed for companies with hundreds of users. You won't need all that power.

The next thing you have to look at is what your actual billing needs are. If you are a DME billing company, you're not going to have need for software that also does dental claims. You'll be paying for functionality that you don't need. Conversely, if you plan to bill all kinds of medical claims, then you better make sure that you get a software package that is going to handle all those claims. Adding on to a package at a later date is not always an easy thing to do.

The next thing that you want to look at is what extras the software company is going to provide for you, such as forms. Forms are a very big part of medical billing and there are a ton of them. If the software company will also provide you these forms at a reduced cost, then it might be worth it to go with them even if the software is not 100% what you're looking for, as long as it is close enough. Conversely, if another company will offer you forms and the one you're looking at won't, it may be wiser to go with the other company, if the software is at least close enough to what you want.

The next thing you need to look at is price and what you can afford. If your perfect software is way above your means, especially if you're a small company, then you might want to go for something that is a step down. You don't need all the bells and whistles to do this job.

Finally, you need to look at the support record of the company. Find out if there have been any complaints against them. You can do this through the BBB.

If you do all of the above, you have a good chance of coming away with the medical billing software that is just right for you.

Michael Russell Your Independent guide to Medical Billing

 

Labels: , , , ,

Friday, May 9, 2008

Medical Billing - Software ROI

One of the most heated arguments in the medical billing world, at least when it comes to the software company, is ROI or return on investment. This is something that is very difficult to calculate as far as what you want your ROI to be and everybody has their own theory and opinion on the subject. If you're a software company just starting out, or better yet, thinking of starting a medical billing software company, there are some basic things you need to consider when figuring out what you want your ROI to be. What follows is a list of the most basic of these items. For starters, you have to figure out what your cost of production is going to be before you even hire any programmers to create this software. This basically involves the cost of the lease on the building you'll be using as well as any other fixed costs such as utilities, insurance, etc. Add all this up and put the estimated total in one column.

The next thing you're going to have to calculate is the salaries of all the people who will be responsible for getting your product out. This includes programmers, QA persons, support techs and all managers. You will also need a networking department who, though they won't be directly responsible for working on your software, will be keeping your operation going. You need to calculate these salaries not just for the time that the software will be developed but also for the time after while you're supporting the product, which will hopefully be for the lifetime of the product. Will you keep the same number of programmers. QA people and support techs? What salary increases do you foresee? Figure all this out and put it in a second column.

The next thing you have to figure out is the cost of any add on items that you intend to include with the software at no extra charge. For example, in the medical billing industry there are a ton of forms that customers are going to need. Are you going to include these forms or are you going to have your customers get them from an outside source? What about peripheral equipment? Are you going to include barcode and retail sales machines? If so, you need to include the cost of these. Also, you're going to need to calculate the cost of maintaining all the equipment. If you deal in peripherals, you're also going to need a tech staff.

After you have figured out what all your yearly costs are going to be, you then have to decide what you want your return to be. In other words, let's say you plan to spend $1,000,000 a year and you want a 10% profit each year. You first have to figure out how many software packages the market will allow in a year. Let's say it's 10,000. If you want a 10% return, then you want to sell $1,100,000 worth of product. If you sell 10,000 units, doing the math, you will need to sell each unit at $110. This is actually very cheap for medical billing software as most packages go for several thousand dollars. So most likely, if you price your software correctly, you will make much more than a 10% ROI.

This is of course greatly simplified, but basically, this is what you need to do in order to figure out what your ROI is going to be for your medical billing software.

Michael Russell Your Independent guide to Medical Billing

Labels: , , , ,

What Is Billing Or Time Tracking Software?

Any business needs to be clear about their transactions to ensure smooth functioning. But often, it is found that the off invoice has gone missing or that there is no record of it. Most of the times, it is a simple case of the record aligning itself in the wrong place. Not much you think, but identifying this itself can be quite a headache eating into precious man-hours and not to mention the anxiety it can cause.

A full-fledged billing software suite can save you from these and many other hassles. Billing software that is rich in features can often help you ensure that you do not miss out on any details in invoicing. Take taxes for instance? you did not intentionally leave out one of the tax charges for your client, but who?s going to explain that to the taxman? What it also means is that you have to fork out this money from your pocket for the time being at least! Not a nice scenario, eh?

While the above processes may be streamlined in case of a large corporations where they have full-time finance departments that are paid to ensure all billings are done correctly, in case of smaller companies and more so in the case of a start-up, this could be a troublesome area. Why burden yourself with something that is not your job? Find a good package and just enter all the right data. The rest will take care of itself.

Another advantage most time tracking software offer is the ability to configure and make repeat invoicing easier. So for your long-term jobs, you don?t need to remember to make a new invoice every time. Come the time and your invoice will be ready. What?s more is the invoice can also be a custom made one that satisfies your and your client?s needs.

But even before you reach the billing stage, there is the need to know how much to bill. Even if you are working on a project that does not need you to charge by the hour, it would be worthwhile keeping track of how much time you have spent on what just to make sure you are working optimally. Using a proper time tracking software can help you do just that. In fact, there is some software that sits in your Outlook and can help you optimize the time spent on a particular client by syncing up with your appointments. So by the end of the month, you know exactly how much time you have spent on which client and how much to charge them.

Remember that your time is valuable and also your only tool to prove to your client the effort you have put in. No matter how passionate you are about your work, there is satisfaction in knowing that you have been compensated correctly and there is peace of mind in knowing that your books are up to scratch.

Aaron Reed writes technical write-up for AECTek - Offshore Software Outsourcing Company. AECTek is based in India and also provides Billing and Time Tracking Software solutions

Labels: , , , ,

Sunday, March 23, 2008

Billing Software Advancements

In recent times, companies have been able to use billing software to help them have an efficient system by which they can charge and collect payments from their clients for the products and services that they provide. However, as with any software, the people who develop billing software are in a constant process of finding more applications for the software, allowing them to have access to a wider market. One recent development in billing software is that it can now be used to cater to very specific requirements of companies and individuals. One of these is the use of billing software for medical billing purposes, allowing doctors and hospitals to take advantage of the benefits that billing software provides.

How billing software is used in the medical profession

The use of billing software in the medical profession can be considered unique because, unlike most companies, some physicians and most hospitals outsource medical billing services. This is mainly because of the complexity of the process in medical billing, which includes giving treatment descriptions and filing the necessary claims with insurance companies that medical billing companies take care of for their clients. In addition to this, having a company to do the medical billing can help physicians and hospitals ensure that they are paid on time and with the proper amount because of the efficiency and accuracy that medical billing companies provide.

To be able to provide efficient and accurate medical billing services, medical billing companies use the most up-to-date software. This software allows them to input the billing information provided to them by their clients, which they can process and send to either the people who received the medical services or the insurance companies that pay for medical services. In addition to this, the medical billing software also allows the company to produce a number of reports that could help their clients analyze their cash flow and profitability. Moreover, medical billing companies also answer any billing questions that patients or insurance companies may have, and they are also responsible for following up on overdue payments.

One of the most recent developments in the use of billing software is that they are now being used in the medical profession. However, the ones who use the software are usually not the doctors or the hospitals themselves because they usually outsource their medical billing services from companies who use the software. However, given the newest developments in medical billing software technology, physicians and hospitals may no longer need to outsource their medical billing services. This is because the newest medial billing software has been designed to me more user-friendly, making it easier to use, more convenient, and more practical.

Billing Software provides detailed information on Billing Software, VoIP Billing Software, Chiropractic Billing Software, Free Billing Software and more. Billing Software is affiliated with HIPAA Complaint Medical Billing Software

Labels: , , , ,

Wednesday, March 12, 2008

Count the Ways Medical Billing Software Helps You Save

Wouldn?t you want the newest billing software that meets all the needs of your business? Your clients will be more satisfied with the service you give them. Your staff will stay on top of details and be more efficient. You will be able to manage your practices with less worries and stress. Medical billing software is the easy, simple solution that will help you treat your patients right, make life on your staff less complicated, and help you stay in control of your business.

Now let?s count the ways medical billing software can help save you time and money.

1. Easy-to-use and maintain

2. Efficient and accurate in data entry process

3. Customizable to your office

4. Can work efficiently and effectively with multiple clinics

5. Doctors can schedule and manage patients from their office

6. Entry screens are easy to handle

7. Save on data entry time

8. Costs less than old software

9. User friendly

10. New employees will learn how to use it quickly

11. Tracking reports are ever changing to fit practices needs

12. Stay connected and updated with all your offices

13. Work anywhere with an Internet connection

14. It?s secure?HIPPA-compliant servers back it up 24x7

15. Technical Remote Service always available for your needs

16. Tier 1 data center facility ensures system upkeep

17. Reduce IT costs across the board?no extra servers, log-ins, or installations needed

18. Synchronize data

19. Pay-as-you-go?upgrade or keep it simple depending on your practice needs

20. Updates installed often (usually weekly) and major upgrades as you go along

21. Guided setup makes it easy on staff and you for use

22. Professionals train staff and offer continuous help

23. Organize and retrieve client folders without hassle

24. Multiple locations can work on the same real-time data all day

25. Reports are always up-to-date no matter where you are

26. Can archive, download and run reports day or night

27. System speed is quick

28. Pre-configured defaults

29. Have option for patient and appointment data imports

30. It?s web-based and easier to handle for your office than the old software

What do all of these mean for you? They mean better accuracy, more efficiency, and greater benefits for all involved. Not only will you save in time and money, but you will also reduce the amount of stress dealing with outdated software that doesn?t meet your needs. Medical billing software meets and takes care of your clients? needs, your staff needs, and your needs. It will change the way you manage and keep up on all your office affairs for the greater good.

Jordan Bartlett is a client account specialist with 10x Marketing ? More Visitors. More Buyers. More Revenue. For more information about medical billing software please visit http://www.advancedmd.com

Labels: , , , ,

Wednesday, February 13, 2008

Practice Perfect - 10 Criteria For Best Chiropractic Billing Software And Office Management Solution

Information Technology (IT) is a necessary component of a modern chiropractic office," says Dr. Greg Loman, of Trinity Chiropractic and co-founder of Teach The World About Chiropractic. "IT helps maintain patient relationships, control audit risks, and ensure full and timely billing."

Dr. Loman has established one of the most successful chiropractic offices in the world, seeing over sixty thousand patients a year. A world power boat racing champion, Dr. Loman has learned what it takes to be the very best.

Teach the World About Chiropractic, which he co-founded with Dr. Ben Lerner, the author of Body by God, Generation XL, and One-Minute Wellness, helps chiropractors and students across the world. Their clients have the largest, most successful clinics in the profession today.

"Complete practice workflow solution starts with appointment scheduling and includes SOAP notes, and billing," says Dr. Lerner. "Few vendors today offer such integrated packages as they require powerful vericle-like technologies used by trained and skilled personnel implementing rigorous and disciplined service processes."

Chiropractic IT must meet five functional criteria and five technology criteria:

 

  1. Clinical Relevance

     

    Technology can only help the healing process if it helps making treatment decisions at the point of care. Therefore, it must be available next to treatment table and it must have intuitive user interface to facilitate simple data entry and helpful online reporting.

     

  2. Patient Relationship Management

     

    Successful practice development requires perfectly managed patient relationships, starting with establishing and tracking financial care plans, appointment reminders, balance follow-ups, and avoidance of unbillable appointments.

     

  3. Compliant SOAP Notes

     

    SOAP is short for Subjective, Objective, Assessment, and Plan:

    Subjective describes the patient's current condition, including all pertinent and negative symptoms. Document how symptoms impact activities of daily living; Use the Standard SOAP format modified to SOAAP by adding an extra "A" for Activities of Daily Living.

    Objective includes vital signs, findings from physical examinations, and results from laboratory tests. Document functional measurements (e.g., Range of Motion), comparison data, test results, co-morbidities, etc. to paint a picture of what is going on with the patient.

    Assessment is a quick summary of the patient with main symptoms/diagnosis including a differential diagnosis, a list of other possible diagnoses usually in order of most likely to least likely.

    Plan is what the health care provider will do to treat the patient's concerns. This should address each item of the differential diagnosis. Document goals for the patient and establish a reasonable timeline to reach those goals. Update your treatment plan every 30 days or 12 visits or any time there is a significant change in the patient's condition, i.e., exacerbation, new injury, discharge exam. Document the patient's progress toward those goals in the daily SOAAP notes.

     

  4. Full and Timely Payments

     

    Revenue cycle management software must help the practice manager to make sure that every service encounter gets paid in full and on time. It must provide full and detailed 24x7 account of all actions on every claim, systematic discovery of denials, patient invoicing, electronic claims submissions to payers, payment posting and reconciliation with charges, HIPAA compliance, built-in tests for medical necessity, and comprehensive online reporting.

     

  5. Audit Risk Management

     

    Audit risk management consists of continuous monitoring for potential compliance violations and meticulous management of patient encounter notes.

     

  6. Reporting and Transparency

     

    Without transparency billing may not be reliable. To be able to observe every step of the billing process on a continuous 24 x 7 basis, reporting must be available using a secure HIPAA compliant connection over the Internet.

    Vendors that manage their own billing technology typically have better control of reporting capabilities in terms of scope, analysis, frequency, and transparency. At the minimum, the following features must be available:

    Operational Report shows total claims and $ amounts submitted, paid, adjusted, written off, and failed. It allows breakdown by cpt, payer, referral, or a combination of such dimensions.

    Denials Report shows the list of denied claims and a log of followup actions. By sorting it by amount paid, you can tell the smallest payment the billing service will fight for.

    Compliance Report shows the potential for post-payment audit and itemizes compliance violations.

    Reports must allow arbitrary data aggregation and drill-in. Export to Excel spreadsheets for further analysis is a very useful feature.

     

  7. Billing Quality Metric

     

    Make a list of metrics available online. Focus on collections completeness and payment delay. Can the system report the differences between payers and between various CPT codes in real time? What is the denial followup success rate?

     

  8. Data Entry Protocols

     

    Modern technologies allow the doctor to take over coding and reduce the billing role down to claims processing and followup. Technology-competent vendor will supply your superbill online, along with a separate form for patient and charge entry, EOB posting, and on-line claim editing. Similarly, much of data entry validity, including some of claim scrubbing will be done online at the point of data entry.

     

  9. ASP or SaaS Delivery Model

     

    Rapid technology progress results in low return on investment in software licenses, typical of client-server technology. Therefore, monthly leasing arrangements with zero upfront investment, typical of ASP (application service provider) or SaaS (software as a service) delivery models are preferable to license purchase.

     

  10. Data Security and Protection

     

    Review data center facilities. Ask for evidence on HIPAA compliance: claims must be viewed only on the "need to know" basis, access to claims and modifications must be thoroughly documented. Data must be protected with redundant disaster recovery measures. Review backup process, backup intervals, and data restore capabilities.

     

 

Summary

Increasing regulatory scrutiny, poor in-house billing performance, and rapid technology progress are key growth drivers in chiropractic information technology. On one hand, thousands of outsourced billing solutions and software vendors ensure continued competitiveness in terms of both service quality and pricing. On the other hand, the lack of standards and uniform metrics among the vendors, combined with their large numbers, frustrates the selection process. Ten effective guidelines streamline outsourced solution selection process and reduce vendor switching costs.

Yuval Lirov, PhD, author of "Practicing Profitability - Network Effect for Revenue Cycle Control in Healthcare Clinic and Chiropractic Office: Scheduling, SOAP Notes, Care Plans, Coding, Billing, Collections, and Audit Risk" (Affinity Billing) and "Mission Critical Systems Management" (Prentice Hall), inventor of patents in Artificial Intelligence and Computer Security, and CEO of Vericle.net - Distributed Billing and Practice Management Technologies. Yuval invites you to register to the next webinar on audit risk at BillingPrecision.com

Labels: , , , ,

Monday, January 28, 2008

4 Step Denial Management To Improve Performance Of Electronic Medical Billing Software And Service

Partial denials cause the average medical practice lose as much as 11% of its revenue. Denial management is difficult because of complexity of denial causes, payer variety, and claim volume. Systematic denial management requires measurement, early claim validation, comprehensive monitoring, and custom appeal process tracking.

In a high-volume clinic, the only practical way to manage denials is to use computer technology and follow a four-step procedure:

 

  1. Prevent mistakes during claim submission. This can be accomplished with a built-in claim validation procedure including payer-specific tests. Such tests ("pre-submission scrubbing") compare every claim with Correct Coding Initiative (CCI) regulations, diligently review modifiers used to differentiate between procedures on the same claim, and compare charged amount with allowed amount according to previous experience or contract to avoid undercharging.

     

     

  2. Identify underpayments. Underpayment identification involves comparison of payment with allowed amount, identification of zero-paid items, and evaluation of payment timeliness. The results of this stage should be displayed in a comprehensive underpayment report sorted by payer, provider, claim identification, and the amount of underpayment.

     

     

  3. Appeal denials. Appeal management includes appeal prioritization, preparation of arguments and documentation, tracking, and escalation. Note that CCI spells out bundling standards but the number of standard interpretations grows in step with number of payers. Therefore, CCI provides justification basis for an appeal and every appeal must be argued on its own merits, including medical notes. Denial appeal process is typically managed with a custom process tracking system, such as TrackLogix.

     

     

  4. Measure denial rates. "You cannot manage what you do not measure." By measuring denial rates and observing payment trends, you can see if your process requires modifications.

     

     

 

Denial risk is not uniform across all claims. Certain classes of claims run significantly higher denial risk, depending on claim complexity, temporary constraints, and payer idiosyncrasies:

 

  1. Claim complexity
    1. Modifiers
    2. Multiple line items

     

     

  2. Temporary constraints
    1. Patient Constraint, e.g., claim submission during global periods
    2. Payer Constraint, e.g., claim submission timing proximity to fiscal year start
    3. Procedure Constraint, e.g., experimental services

     

     

  3. Payer idiosyncrasies
    1. Bundled services
    2. Disputed medical necessity

     

     

 

First, for complex claims, most payers pay full amount for one line item but only a percentage of the remaining items. This payment approach creates two opportunities for underpayment:

 

  1. The order of paid items
  2. Payment percentage of remaining items

     

     

 

Next, temporary constraints often cause payment errors because misapplication of constraints. For instance, claims submitted during the global period for services unrelated to global period are often denied. Similar mistakes may occur at the start of the fiscal year because of misapplication of rules for deductibles or outdated fee schedules.

Finally, payers often vary in their interpretations of Correct Coding Initiative (CCI) bundling rules or coverage of certain services. Developing sensitivity to such idiosyncrasies is key for full and timely payments.

Powerful Vericle-like technology helps manage denial appeals nationwide and stay current until complete problem resolution. Every time one billing problem is solved, the newly gained knowledge is encoded for recycling. Sharing billing expertise in a central billing knowledge base expedites future problem resolution.

Yuval Lirov, PhD, author of "Practicing Profitability - Network Effect for Revenue Cycle Control in Healthcare Clinic and Chiropractic Office: Scheduling, SOAP Care Plans, Coding, Billing, Collections, and Audit Risk" (Affinity Billing) and "Mission Critical Systems Management" (Prentice Hall), inventor of patents in Artificial Intelligence and Computer Security, and CEO of Vericle.net - Distributed Billing and Practice Management Technologies. Yuval invites you to register to the next webinar on audit risk at BillingPrecision.com.

Labels: , , , , ,

Monday, November 26, 2007

Billing Medical Software

Billing medical software is used as a medical management system that can automate and track the process of submitting medical claims to insurance companies. It records the process from the first time a patient visits the doctor, through all the visits and diagnosis held from thereafter, till the end of the treatment. Plus it has several automatic processes and reports based on the information entered that can take much of the load experienced to run the medical process in a non-computerized environment.

Some of the features billing medical software has are:
1. appointment scheduling
2. electronic claims
3. flexible reporting
4. claim tracking
5. patient eligibility
6. ability to interact with other 3rd party software

Like other software applications, billing medical software needs to be easy to use and have the possibility to log the events that occur during the treatment. It needs to have a simple approach to the medical billing process as a whole, which normally, when done on paper, is a very time consuming process.

The advantages of billing medical software can be summarized as:
1. automatic billing computations for patients
2. auditable history of a treatment case at a glance
3. updated patient details availability
4. reduced time to process

Clients can benefit immensely from billing medical software. Some obvious benefits are:
1. confidentiality
2. eligibility verification
3. claims submission

Apart from offering the above advantages for both parties, billing medical software can automate the billing and collection process as well as offering simplified procedures for the main tasks needed as part of the medical and treatment process.

But who exactly can take advantage of billing medical software? This software is normally designed for doctors, dentists, medical billing centres and other healthcare professionals who intend to send electronic claims. A good quality billing medical software allows users to work on different modules simultaneously and have the ability to be used in a multi-user network environment. Entering patient details, diagnosis, issuing reports and scheduling appointments are all functions that can be done and are allowed to be done from different users at the same time.

Billing medical software is a must for highly geared medical centres nowadays. Many advantages can be taken from a well written and efficient software. The reduced time to process the work and paper involved, and the total organization of the medical process are just the highlights on which a billing medical software can focus and excel.

Sandro Azzopardi is a professional author who writes several articles on various subjects on his web site and local newspapers and magazines. You can visit information about this article and others on: http://www.theinfopit.com/technology/software/billingmedicalsoftware.php

Labels: , , , ,